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FEDERAL
OF

RESERVE
NEW

BANK

YORK

Fiscal Agent of the United States
r Circular No. 2 4 4 6 "I
L
J u n e 18, 1942
J

Cash Offering of
% Percent Treasury Certificates of Indebtedness of Series A-1943
Dated and bearing interest from June 25, 1942

Due February 1, 1943

To all Banking Institutions, and Others Concerned,
in the Second Federal Beserve District:

The following press statement was today made public:
Secretary of the Treasury Morgenthau today announced the offering, through the Federal
Reserve Banks, for cash subscription at par and accrued interest, of $1,500,000,000 or thereabouts,
of % percent Treasury Certificates of Indebtedness of Series A-1943. In order to insure more
extensive participation on the part of banks, corporations, and others interested in a type of security
carrying maturities somewhat longer than Treasury bills, the subscription books will remain open two
days, and subscriptions up to $25,000 will be allotted in full. There will be no restrictions as to the
basis for subscribing to this issue.
The certificates will be dated June 25, 1942, will be payable on February 1, 1943, and will bear
interest at the rate of five-eighths of one percent per annum, payable at the maturity of the certificates, They will be issued in bearer form only, with one interest coupon attached, in denominations
of $1,000, $5,000, $10,000 and $100,000.
Pursuant to the provisions of the Public Debt Act of 1941, interest upon the certificates now
offered shall not have any exemption, as such, under Federal Tax Acts now or hereafter enacted. The
full provisions relating to taxability are set forth in the official circular released today.
Subscriptions will be received at the Federal Reserve Banks and Branches, and at the Treasury
Department, Washington. Banking institutions generally may submit subscriptions for account of
customers, but only the Federal Reserve Banks and the Treasury Department are authorized to act as
official agencies. Subscriptions for the certificates from banks and trust companies for their own
aecount will be received without deposit, but subscriptions from all others must be accompanied by
pa3*ment of 5 percent of the amount of certificates applied for.
The hasis of allotment of subscriptions over $25,000 will be publicly announced, and payment for
any certificates allotted must be made or completed on or before June 25, 1942, or on later allotment.
These certificates will be redeemed in cash at maturity and will carry no exchange privileges.

The terms of this offering are set forth in Treasury Circular No. 688, dated June 18, 1942,
a copy of wliicli is printed on the following pages.
The subscription books are now open, and applications will be received by tliis bank as fiscal
agent of the United States, Subscriptions should be made on official subscription blanks and
mailed immediately or, if filed by telegram or letter, should be confirmed immediately by mail
on the blanks provided. Telegraphic or letter subscriptions to the cash offering entered by a
bank should state the amount subscribed for the bank's own account and the number of
subscriptions, at each amount, entered for the customers of the subscribing bank.




ALLAIS- SPROTJL,

President.

UNITED STATES OF AMERICA
5/8 P E R C E N T TREASURY CERTIFICATES O F I N D E B T E D N E S S O F SERIES A-1943
Due February 1, 1943

Dated and bearing interest from June 25, 1942

1942

TREASURY DEPARTMENT,
Office of the Secretary,
Washington, June 18, 1942.

D e p a r t m e n t Circular N o . 688
Fiscal Service
Bureau of the Public Debt

I.

OFFERING

OF

CERTIFICATES

1. The Secretary of the Treasury, pursuant to the authority of the Second Liberty Bond Act, as
amended, invites subscriptions, at par and accrued interest, from the people of the United States for %
percent certificates of indebtedness of the United States, designated Treasury Certificates of Indebtedness
of Series A-1943. The amount of the offering is $1,500,000,000, or thereabouts.

II.

DESCRIPTION

OF

CERTIFICATES

1. The certificates will be dated June 25, 1942, and will bear interest from that date at the rate of
% percent per annum, payable on an annual basis at the maturity of the certificates. They will mature
February 1, 1943, and will not be subject to call for redemption prior to maturity.
2. The income derived from the certificates shall be subject to all Federal taxes, now or hereafter
imposed. The certificates shall be subject to estate, inheritance, gift or other excise taxes, whether Federal
or State, but shall be exempt from all taxation now or hereafter imposed on the principal or interest thereof
by any State, or any of the possessions of the United States, or by any local taxing authority.
3. The certificates will be acceptable to secure deposits of public moneys. They will not be acceptable in payment of taxes and will not bear the circulation privilege.
4. Bearer certificates with one coupon attached will be issued in denominations of $1,000, $5,000,
$10,000 and $100,000. The certificates will not be issued in registered form.
5. The certificates will be subject to the general regulations of the Treasury Department, now or hereafter prescribed, governing United States certificates.

III.

SUBSCRIPTION

AND

A L L O T M E N T

1. Subscriptions will be received at the Federal Reserve Banks and Branches and at the Treasury
Department, "Washington. Subscribers must agree not to sell or otherwise dispose of their subscriptions, or
of the securities which may be allotted thereon, prior to the closing of the subscription books. Banking
institutions generally may submit subscriptions for account of customers, but only the Federal Reserve
Banks and the Treasury Department are authorized to act as official agencies. Others than banking institutions will not be permitted to enter subscriptions except for their own account. Subscriptions from banks
and trust companies for their own account will be received without deposit. Subscriptions from all others
must be accompanied by payment of 5 percent of the amount of certificates applied for.
2. The Secretary of the Treasury reserves the right to reject any subscription, in whole or in part, to
allot less than the amount of certificates applied for, and to close the books as to any or all subscriptions at
any time without notice; and any action he may take in these respects shall be final. Subject to these reser-




vations, subscriptions for amounts up to and including $25,000 will be allotted in full. The basis of the
allotment on all other subscriptions will be publicly announced, and allotment notices will be sent out
promptly upon allotment.
IV.

P A Y M E N T

1. Payment at par and accrued interest, if any, for certificates allotted hereunder must be made or
completed on or before June 25, 1942, or on later allotment. In every case where payment is not so completed, the payment with application up to 5 percent of the amount of certificates applied for shall,
upon declaration made by the Secretary of the Treasury in his discretion, be forfeited to the United
States. Any qualified depositary will be permitted to make payment by credit for certificates allotted to
it for itself and its customers up to any amount for which it shall be qualified in excess of existing
deposits, Avhen so notified by the Federal Reserve Bank of its District.

V.

G E N E R A L

PROVISIONS

1. As fiscal agents of the United States, Federal Reserve Banks are authorized and requested to
receive subscriptions, to make allotments on the basis and up to the amounts indicated by the Secretary
of the Treasury to the Federal Reserve Banks of the respective districts, to issue allotment notices,
to receive payment for certificates allotted, to make delivery of certificates on full-paid subscriptions
allotted, and they may issue interim receipts pending delivery of the definitive certificates.
2. The Secretary of the Treasury may at any time, or from time to time, prescribe supplemental or
amendatory rules and regulations governing the offering, which will be communicated promptly to the
Federal Reserve Banks.




H E N R Y MORGENTHATT,

Secretary of the

JR.,

Treasury.

SL. 2

Special Notice to Subscribers in the
Second Federal Reserve District Located Outside
the Borough of Manhattan of the City of New York
If you desire delivery of securities on June 25, 1942, "Letter
of Instructions" accompanying allotment notice should be filled in
and signed officially and mailed to this bank on Tuesday, June 23,
1942 in the special return envelope enclosed herewith.
FEDERAL RESERVE B A N K OF N E W Y O R K ,

Fiscal Agent of the United States.

Special Notice to Subscribers Located in the
Borough of Manhattan of the City of New York
If you desire delivery of securities on June 25, 1942, "Letter
of Instructions" accompanying allotment notice should be filled in
and signed officially and returned to this bank by messenger by
NOON, Tuesday, June 23, 1942.
FEDERAL RESERVE B A N K OF N E W Y O R K ,

SL. 1



Fiscal Agent of the United States.

A U V I O C L/r u n c u i I

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»»ni\ L-wnn u u r

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APPLICATION

NO.

J
IN A C C O R D A N C E WITH Y O U R C E R T I F I C A T I O N W E HAVE T H I S DAY C R E D I T E D Y O U R
" W A R L O A N D E P O S I T A C C O U N T " WITH T H E A M O U N T INDICATED ABOVE.
A C C O U N T O F ALLOTMENT OF

s/% percent Treasury Certificates of Indebtedness Series A-1943
Dated June 25, 1942
Due February 1, 1943



F E D E R A L R E S E R V E BANK O F N E W YORK
FISCAL AGENT O F THE UNITED

STATES

GOVERNMENT BOND

DEPARTMENT.

^ K C U I

B-BC

1

f M

I IV1C.IN I
APPLICATION

DATE

IN A C C O R D A N C E W I T H Y O U R C E R T I F I C A T I O N W E H A V E T H I S DAY C R E D I T E D
•WAR L O A N D E P O S I T A C C O U N T " WITH T H E A M O U N T I N D I C A T E D A B O V E .
ACCOUNT OF ALLOTMENT

OF

s/s percent Treasury Certificates of Indebtedness Series A-1943
Dated June 25, 1942
Due February 1, 1943



YOUR

NO.

F E D E R A L R E S E R V E B A N K OP N E W

Application Number

YORK

Fiscal Agent of the United States

NOTICE OF ALLOTMENT
On Cash Subscription to United States Government Obligations
Applied for by Subscriber as Described Below
To

Subscriber:
1942

Referring to your subscription, numbered as above indicated, for $

(par value)

U N I T E D S T A T E S OF AMERICA % PERCENT T R E A S U R Y CERTIFICATES OF INDEBTEDNESS, SERIES
D A T E D J U N E 2 5 , 1 9 4 2 , D U E F E B R U A R Y 1, 1 9 4 3

A-1943

for which you have applied under the provisions of the Treasury Department's circular containing the offering of such
securities for subscription, you have been allotted by the Secretary of the Treasury
$

of the amount applied for.

IMPORTANT INFORMATION FOR SUBSCRIBER
1. To expedite delivery of the securities of this issue allotted to subscriber and to facilitate prompt completion of
this transaction, please observe the following directions, and fill in, sign and return immediately the attached letter of
instructions to the Federal Reserve Bank of New York, Fiscal Agent of the United States, New York, N. Y.
Payment by Check, Cash, Charge or Credit
2. On or before the date of this issue payment must be made or completed at par, or at par and accrued interest if
payment is to be made after the date of this issue, for the securities allotted to subscriber as stated above, and payment
therefor may be made by check, cash, charge, or credit, as follows:
By Check—A
check tendered in payment should bo made payable to the order of the FEDERAL RESERVE BANK OF NEW YORK,
FISCAL AGENT OF T H E UNITED STATES, and the proceeds thereof must be immediately available on the date that payment is due,
but such check need not necessarily accompany the attached letter of instructions. The proceeds of a check tendered in payment by
subscriber on the date of this issue, drawn on the Federal Reserve Bank of New York, will be immediately available on the date of this
issue. Should a subscriber wish to make payment by certified check on any other bank the securities can not be delivered until the
Federal Reserve Bank of New York, Fiscal Agent of the United States, receives the proceeds of such check, and, therefore, such subscriber
s h o u l d t e n d e r s u c h c e r t i f i e d c h e c k at l e a s t 2 d a y s prior t o t h e d a t e p a y m e n t is d u e if h e w i s h e s d e l i v e r y o f t h e s e c u r i t i e s o n t h e
d a t e of t h i s i s s u e .

By

Cash—Payment

may be made in cash.

By Charge—A
member bank may mako payment by requesting us to charge its reserve account, or a nonmember clearing bank may make
payment by requesting us to charge its clearing account.
By Credit—(a)
If subscriber is a depositary of public moneys qualified under the provisions of Treasury Department Circular No. 92, dated
February 23, 1932, as amended, with respect to special deposits of public moneys under the Act of Congress approved September 24, 1917,
as amended, subscriber will be permitted to make payment by credit in the War Loan Deposit Account f o r securities of this issue allotted
to it for itself and its customers up to any amount for which it shall be qualified in excess of existing deposits.
(b) Securities of this issue allotted to a qualified depositary for its own account may be pledged with Federal Reserve Bank of New York
as collateral security f o r deposits in the War Loan Deposit Account. Securities of this issue allotted to a qualified depositary for account of
its customers may not be pledged as such collateral security without the written consent of the owners of such securities.

Delivery
3. (a) Delivery of the securities of this issue will be made by the Federal Reserve Bank of New -York at its
head office in New York, N. Y., and will not be made before the issue date.
(b) Securities of this issue allotted to subscriber will be delivered over the counter to a representative of the
subscriber only when a letter of authority signed officially by the subscriber identifying such representative is presented
by him.
(c) Securities of this issue allotted to subscriber will be delivered to others under special instructions from subscriber but only when such securities are either the sole property of the subscriber or are the property of its customers who
have authorized the subscriber in writing to cause their said securities to be so delivered.
Further Instructions
4. (a)
Reserve Bank
member bank.
(b)
this bank and

Securities of this issue will be held for safekeeping by, or delivered to the Discount Department of, the Federal
of New York for the account of member banks only, provided such securities are the sole property of the
It is requested that all blank spaces be typed in where necessary on the attached letter of instructions to
that such letter be signed officially and returned to this bank without delay.
FEDERAL RESERVE B A N K OP N E W YORK,

Fiscal Agent of the United States

Checked by
NA-C




Application Number

LETTER OF INSTRUCTIONS
T o F E D E R A L R E S E R V E B A N K OF N E W

YORK,

Fiscal Agent of the United States,
Government Bond Department,
New York, N. Y.

From (Name and address of Subscriber)
1942

Referring to our subscription, numbered as above indicated, for $
UNITED STATES

OF AMERICA

% PERCENT

TREASURY

CERTIFICATES

(par value)
OF INDEBTEDNESS,

SERIES

A-1943

D A T E D J U N E 2 5 , 1 9 4 2 , D U E F E B R U A R Y 1, 1 9 4 3

for which we applied under the provisions of the Treasury Department's circular containing the offering of such
securities for subscription, we have received your notice of allotment stating that we have been allotted by the Secretary
of the Treasury
$
of the amount applied for.
As requested we are sending you the following instructions:
Payment for such securities will be made or completed as indicated below.
By charge to our reserve account, which you are authorized to make

$

By check

$

By cash

$

By credit to War Loan Deposit Account as shown in the following "Certificate of Advice":
CERTIFICATE OF ADVICE
j u n e 25, 1942
1 HEREBY CERTIFY that there has been deposited this day with the above bank or trust company, to the credit of
the Federal Reserve Bank of New York, as fiscal agent of the United States, War Loan Deposit Account, to be held
subject to withdrawal on demand through the Federal Reserve Bank of New York, the
sum of

Dollars, $

T o b e e x e c u t e d o n l y w h e n s u b s c r i b e r is m a k i n g
payment through W a r Loan Deposit Account.

Cashier

or Vice

President.

Issue and dispose of securities allotted on this subscription as indicated below:
DISPOSITION
1. Deliver over the counter to the undersigned

DENOMINATIONS

Leave Blank

Par Value

Pieces

2. Ship to the undersigned.
3. Hold in safekeeping
bank only)

XXX

(For member

XXX

4. Hold as collateral for War
deposits

XXX

SI ,000

Loan

5. Deliver as indicated below

5,000

Deliver to:

Against
P a y m e n t of

P a r Amount

10,000

$

$

XX XXX

100,000
Total

and credit proceeds to our Reserve account

:

•

or to our account with
T h e u n d e r s i g n e d , i f a b a n k o r t r u s t c o m p a n y , h e r e b y c e r t i f i e s ( a ) t h a t t h e s e c u r i t i e s w h i c h y o u a r e h e r e b y or h e r e a f t e r i n s t r u c t e d
t o d i s p o s e o f i n t h e m a n n e r i n d i c a t e d in i t e m n u m b e r e d 3 a b o v e a r e t h e s o l e p r o p e r t y o f t h e u n d e r s i g n e d , a n d ( b ) t h a t t h e s e c u r i t i e s
w h i c h y o u a r e h e r e b y or h e r e a f t e r i n s t r u c t e d t o d i s p o s e o f i n t h e m a n n e r i n d i c a t e d in i t e m s n u m b e r e d 4 a n d 5 a b o v e a r e e i t h e r t h e s o l e
p r o p e r t y o f t h e u n d e r s i g n e d o r t h e p r o p e r t y o f i t s c u s t o m e r s w h o h a v e a u t h o r i z e d in w r i t i n g s u c h d i s p o s i t i o n .

i5T This letter of instructions must be signed
officially in the space provided here and
returned immediately to
Federal Reserve Bank of New York,

N a m e of

Subscriber.
(Please print)

By....
(Title)

(Official signature required)
Street address

Fiscal A g e n t of the U n i t e d S t a t e s .
City, T o w n or V i l l a g e , a n d S t a t e .
DO NOT USE SPACES BELOW
Delivery

PAYMENT RECORD

PAYMENT RECEIVED

DELIVER AGAINST PAYMENT

Receipt

B e c e i v e d f r o m FEDERAL RESERVE BANK OF NEW YORK t h e a b o v e d e s c r i b e d
U n i t e d States Government obligations allotted in the a m o u n t indicated above.

$
By
Taken from Vault

NA-C




Counted

Checked

Delivered

F E D E R A L R E S E R V E BANK
O F N E W YORK

SEC-ATS-l.C
SECUR.TIES DEPARTMENT

ADVICE TO SUBSCRIBER
Acknowledging Receipt of Cash Subscription
For United States Government Obligations Mentioned Below

To

Application No.

r

n

L

Date

_l
Your cash subscription for $
United States of America % Percent Treasury Certificates of Indebtedness, Series A-1943, Dated June 25, 1942, Due February 1, 1943

has been received by this bank, as fiscal agent of the United States, and, pursuant to the provisions of the Treasury
Department's circular offering the above-mentioned obligations of the United States, allotment notices will be
sent out promptly upon allotment and allotments will be made on the basis and up to the amounts indicated by
the Secretary of the Treasury to this bank.
FEDERAL RESERVE B A N K OF N E W YORK,

Fiscal Agent of the United States.

Checked by.



SEC—AT8-2.C
SECURITIES DEPARTMENT

CARD RECORD

Application

To

No.

Date

Cash subscription received
from above subscriber for $
United States of America % Percent Treasury Certificates of Indebtedness, Series A-1943, Dated June 25, 1942, Due February 1, 1943




AMOUNT ALLOTTED $

PAYMENT AND DISPOSITION

S EC—ATS—3. C
SECURITIES DEPARTMENT

RECORD

To

Application

No.

Bate

Cash subscription received
from above subscriber f o r $
United States of America % Percent Treasury Certificates of Indebtedness, Series A-1943, Dated June 25, 1942, Due February 1, 1943
DATE

BOOK CREDIT

CHARGE

CASH

DELIVERY TELLER

GOV. DEPOSIT

SHIP

ALLOTMENT
PREMIUM A N D / O R
INTEREST
PURCHASE PRICE
DEPOSIT

DISPOSITION
OVER COUNTER

SAFEKEEPING

PRINCIPAL DUE
REFUND
BALANCE
ACCRUED INT.
AMOUNT FRASER
Digitized for D U E


SPECIAL DELIVERY INSTRUCTIONS

IB-CS

Application Number

CASH SUBSCRIPTION
BY

OTHER

THAN

A

BANKING

INSTITUTION

To United States Government Obligations
Described Below
Dated a t .
.1942

Important
Subject to the reservations set forth in Treasury Department Circular No. 688, subscriptions for amounts up to
and including $25,000 will be allotted in full.
This application must be accompanied by payment of 5 percent of the amount applied for.
Subscriptions can be made only for $1,000 or in multiples of $1,000.
Interest

decimal on coupon payable February 1, 1943 (221 days in 365 day period) one day's interest on $1,000. is $0.017123288

FEDERAL RESERVE BANK OF NEW YORK,

Fiscal Agent of the United States,
New York, N. Y.
DEAR SIRS:

Pursuant to the provisions of Treasury Department Circular No. 688, dated June 18, 1942, please enter our (my)
subscription for $

(par value)

UNITED STATES OF AMERICA % PERCENT TREASURY CERTIFICATES
OF INDEBTEDNESS, SERIES A-1943, DATED JUNE 25, 1942,
DUE FEBRUARY 1, 1943
The undersigned subscriber
(a) certifies that no arrangements have been or will be made for the sale or other disposition of this subscription, or of the securities which may be allotted thereon, prior to the closing of the subscription books; and
(b) agrees, in consideration of the receipt by you of this subscription, to make payment in full for the entire amount
which may be allotted on this subscription, at par on or before the date of issue, or at par and accrued interest if
on later allotment. If such payment is in excess of the amount deposited with this application the balance of the
payment due you will be made by the undersigned or (name),
in the manner indicated below.
By check

•

By cash
Subscriber
Sign here

(Official Signature Required)

Q

Confirmation of a telegram
Confirmation of a letter

...
(Print name)

TO S U B S C R I B E S :
Mark ( X ) in proper space
to indicate if this i s :
Original subscription

•

Street address.

| |
Q

(City, Town or Village, and State)

SPACES BELOW ABE F O B T H E U S E O F T H E F E D E B A L BESEBVE B A N K O F N E W YOBK
SUBSCRIPTION RECORD

ALLOTMENT AND PAYMENT

BLOTTER

EXAMINED FOR
CLASSIFICATION

ALLOTMENT

OWN ACCOUNT
CHECKED

CHECKED

DEPOSIT

EXAMINED

CARDED

REFUNDED

ACKNOWLEDGED




BALANCE
DISPOSITION

FIGURED CHECKED ADVISED
DATE
DATE
DATE PAID

BY

Cash Subscription by Banking Institution

Application Number

To United States Government Obligations
Described Below
Dated at

Important
Subject to the reservations set forth in Treasury Department Circular No. 688, subscriptions for amounts up to
and including $25,000 will be allotted in full.
Subscriptions can be made only for $1,000 or in multiples of $1,000.
Interest
decimal on coupon payable February
F E D E R A L RESERVE B A N K OF N E W Y O R K ,

1, 1943 (221 days

in 365 day period)

one day's

interest

on $1,000. is

$0.017123288

Fiscal Agent of the United States,
New York, N. Y.
DEAR SIRS :

Pursuant to the provisions of Treasury Department Circular No. 688, dated June 18, 1942, please enter subscription
as follows for
U N I T E D

S T A T E S
O F

O F

A M E R I C A

I N D E B T E D N E S S ,

%

P E R C E N T

SERIES

D U E

A-1943,

F E B R U A R Y

T R E A S U R Y
D A T E D

1,

SUBSCRIBER:

DO

C E R T I F I C A T E S
25,

1942,

1943

*For our own account (not classified below).. $
*For our customers (classified below)
Total Subscription
$

(To

J U N E

_

CLASSIFICATION OF CUSTOMERS' SUBSCRIPTIONS
(For example: Class A — 1 0 at $1,000)
not show on this form denominations oj securities of this issue to be desired on allotment.)

CLASS A
Subscriptions of $1,000
Number of 1
Amount
Leave Blank
Subscript's!
of Each

CLASS B
CLASS CI
CLASS C2
Subscriptions over SI,000 to $10,000 Incl.
Subscriptions over §10,000 to $25,000 Incl. Subscriptions over $25,000 to S50.000 Incl.
Number ofl
Amount
Number ofl
Amount
Number ofl
Amount
Leavj Blank Subscript's!
Leave Blank Subscript's!
Leave Blank
Subscript's!
of Each
of Each
of Each

at

at

at

at

at

at

at

at

at

at

at

at

at

at

at

at

at

at

at

at

at

at

at

at

at

at

at

at

CLASS D
CLASS E
CLASS F
CLASS G
Subscriptions over $50,000 to $100,000 Incl. Sub's over S100.000 to $500,000 Inclusive Sub's over $500,000 to $1,000,000 Inclusive
Subscriptions ot over $1,000,000
Number ofl
Amount
Number ofl
Amount
Number of |
Amount
Number ofl
Amount
Leave Blank Subscript's!
Leave Blank Subscript's I
Leave Blank
Leave Blank Subscript's |
Subscript's!
of Each
of Each
of Each
of Each
at

at

at

at

at

at

at

at

at

at

at

at

at

at

at

at

at

at

at

at

at

at

at

at

We hereby certify:
(a) that we have received applications from our customers in the amounts set opposite the customers' names listed on
the reverse side of this form which is made a part of this subscription; that there has been paid to us by each such
customer, not subject to withdrawal until after allotment and payment in full for securities allotted, five percent
of the amount applied for.
(b) that this subscription is solely for our own account or for the account of the customers specified herein; that no
arrangements have been or will be made for the sale or other disposition of our subscription, or of the securities
which may be allotted thereon, prior to the closing of the subscription books; and that our customers whose subscriptions are included herein will be requested to confirm to us their agreement to the same conditions with respect
to their subscriptions; and
(c) that our capital and surplus (not including undivided profits, reserves, etc.) is $
We agree:
in consideration of the receipt by you of this subscription, to make payment in full for the entire amount which
may be allotted on this subscription, at par on or before the date of issue, or at par and accrued interest if on later
allotment. Such payment will be made by the method indicated hereon.
B y c h a r g e to our reserve account, which you

are

authorized to make

•

B y cheek

Q

TO S U B S C B I B E B :
M a r k ( X ) in proper space
t o indicate if this i s :
Original subscription
C o n f i r m a t i o n of a

telegram..

C o n f i r m a t i o n of a l e t t e r

By credit to W a r Loan Deposit Account

-

-

-

-

-

Q

BC~Fill i n a l l r e q u i r e d s p a c e s b e f o r e s i g n i n g .

(Name of Banking Institution)

•
•
•

By

(Title)

(Official signature)

Address.
(City, Town or Village, and State)

•NOTE :
S e c u r i t i e s of t h i s i s s u e a l l o t t e d t o a q u a l i f i e d d e p o s i t a r y f o r i t s own a c c o u n t m a y b e p a i d f o r b y c r e d i t t o W a r L o a n D e p o s i t A c c o u n t
a n d m a y a l s o b e d e p o s i t e d w i t h F e d e r a l B e s e r v e B a n k of N e w Y o r k a s c o l l a t e r a l s e c u r i t y f o r s u c h A c c o u n t .
S e c u r i t i e s of t h i s i s s u e a l l o t t e d t o a q u a l i f i e d d e p o s i t a r y f o r a c c o u n t of i t s c u s t o m e r s m a y b e p a i d f o r b y c r e d i t t o W a r L o a n D e p o s i t
A c c o u n t , b u t m a y n o t b e d e p o s i t e d w i t h F e d e r a l B e s e r v e B a n k of N e w Y o r k a s c o l l a t e r a l s e c u r i t y f o r s u c h A c c o u n t w i t h o u t t h e w r i t t e n c o n s e n t
of t h e o w n e r s of s u c h s e c u r i t i e s .
SPACES BELOW ABE FOB THE USE OF THE FEDEBAL BESEBVE BANK
SUBSCRIPTION RECORD
BLOTTER
OWN ACCOUNT
CHECKED
EXAMINED
ACKNOWLEDGED




EXAMINED FOR
CLASSIFICATION
CHECKED
CARDED

PAYMENT

ALLOTMENT
Figured

DISPOSITION

Checked Advised

D
R/A
B/C
C

List of customers' applications included in the foregoing subscription
entered and certified by
(Name of banking institution)

Post office address

Name of Customer
(Please print or use




typewriter)

Address

State.

Amount Subscribed


Federal Reserve Bank of St. Louis, One Federal Reserve Bank Plaza, St. Louis, MO 63102